NGN Multiple Choice: New NCLEX Questions

nurses taking exam - NGN multiple choice title card

As of April 2023, the NCLEX has a new format and question types. Two new Next Gen question types (or items) appearing on the new Next Generation NCLEX (NGN) are Multiple Choice and Matrix Multiple Choice.

Matrix Multiple Choice items are a type of question that presents test-takers with a matrix grid of options to evaluate and select the best answer.

On the NGN, nursing test-takers answer multiple-choice items (including Matrix) by selecting the most appropriate option from the available choices.

What’s a Matrix Multiple Choice Item?

Matrix Multiple Choice questions (or items) contain four to ten rows, each containing two or three options. Selecting only one response for each row is required, and the test-taker must answer all rows before moving to the next question.

How to Answer a Multiple Choice Question on the Next Generation NCLEX (NGN)

In this type of question, the test-taker is presented with a list or matrix of choices corresponding to different parts of the question. Each matrix cell contains a different option for the test-taker to consider. 

The question stem then asks the test-taker to evaluate the information in the matrix and select the best answer based on the options provided.

It’s important to read the entire item and answer all parts of the question to ensure you have selected the best option. Additionally, NGN questions may include multimedia elements such as videos, images, or audio files, so review them carefully before submitting your answer.

NGN Matrix Multiple Choice Item Example (with Rationales)

The nurse provides care for an older adult client on a medical surgical unit. The client is preoperative for transurethral prostatectomy (TURP). For each perioperative intervention or client data, which of the following specifies if it increases, decreases, or has no effect on the client’s risk for infection?

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